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Organization
BASIC PHARMACY
Active
Organization
BASIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ROSA OLMOS LICENCIADO (REGENTE)
(787) 751-8758
Entity
Organization
Contact information
Practice address
AVE MUNOZ RIVERA, PARADA 31, HATO REY, PR 00917
(787) 751-8758
Mailing address
AVE MUNOZ RIVERA, PARADA 31, HATO REY, PR 00917
(787) 751-8758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1582
PR
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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